Predicting urinary tract infections in the emergency department with machine learning.

Journal: PloS one
PMID:

Abstract

BACKGROUND: Urinary tract infection (UTI) is a common emergency department (ED) diagnosis with reported high diagnostic error rates. Because a urine culture, part of the gold standard for diagnosis of UTI, is usually not available for 24-48 hours after an ED visit, diagnosis and treatment decisions are based on symptoms, physical findings, and other laboratory results, potentially leading to overutilization, antibiotic resistance, and delayed treatment. Previous research has demonstrated inadequate diagnostic performance for both individual laboratory tests and prediction tools.

Authors

  • R Andrew Taylor
    Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
  • Christopher L Moore
    Department of Emergency Medicine, Yale University School of Medicine, New Haven CT, United States of America.
  • Kei-Hoi Cheung
    Department of Emergency Medicine, Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, CT USA ; VA Connecticut Healthcare System, West Haven, CT USA ; Extracellular RNA Communication Consortium (ERCC), ᅟ, ᅟ
  • Cynthia Brandt
    Yale Center for Medical Informatics, Yale University.